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Class ZEB U 3 
Book i C i o 

CopightN 

CfiEiTHGHT DEPOSIT. 



Bandages 

and Bandaging for 

Nurses 



By 

M. Cordelia Cowan 

President of the Colorado State Board of Nurse Examiners 
Superintendent of Nurses, Longmont Hospital, Longmont, Colorado 
Formerly Instructor of Nurses, Minnequa Hospital of The Color- 
ado Fuel and Iron Company, Pueblo, Colorado 



With 139 Illustrations 



Philadelphia and London 

W. B. SAUNDERS COMPANY 

1920 



t<$ 



2* 



Copyright, IQ20, by W. B. Saunders Company 



PRINTED IN AMERICA 



PRESS OF 

W. B. SAUNDERS COMPANY 

PHILADELPHIA 



DEC 18 1920 

©CI.A605041 



TO MY STUDENT NURSES 

THIS 

LITTLE BOOK IS SINCERELY DEDICATED 



PREFACE 

The study periods and the recitation periods of 
the student nurse are a limited amount of time. 

The aim of this little book is to give to these 
student nurses the fully illustrated fundamentals 
of the science of bandaging in as condensed a form 
as possible. It is bandages and bandaging treated 
upon from the standpoint of a nurse, and the book 
is, as the title implies, a book especially for nurses. 

M. C. C. 

November, 1920. 



CONTENTS 



Page 

Roller Bandages 11 

Materials 12 

Parts 14 

Application 15 

Turns 15 

To Roll 18 

To Hand to Another 27 

To Apply 27 

To Fix 27 

To Secure or Fasten 27 

To Remove 31 

Upper Extremity 34 

Spiral Reverse Bandage 34 

Figure-of-8 Bandage of Elbow 39 

Ascending Spica of Thumb 44 

Descending Spica of Thumb 44 

Bandage of One Finger 46 

Small Bandage of One Finger 48 

Gauntlet Bandage 52 

Demigauntlet Bandage 52 

Recurrent Bandage for Fist or Stump 55 

Lower Extremity 57 

Spiral Reverse Bandage 57 

Complete Bandage of Foot 58 

Head 65 

Occipitofacial Bandage. 65 

Jaw Bandage 69 

Monocle or Bandage of One Eye 77 

3 



4 CONTENTS 

Roller Bandages — Head: Page 

Binocle or Bandage of Both Eyes 78 

Recurrent Bandage 81 

Double-headed Recurrent Bandage 83 

White's Bandage or Figure-of-8 Bandage of 

Head and Neck 91 

Hunter's V Bandage or Figure-of-8 Bandage 

of Head 93 

Cowan's Bandage of Ear or Mastoid Process. . 95 

Gibson's Bandage 96 

Barton's Bandage 103 

Trunk 112 

Figure-of-8 Bandage of Neck and Axilla 112 

Figure-of-8 Bandage of Back and Shoulders. . . 112 

Figure-of-8 Bandage of Trunk and Axilla 115 

Spiral Bandage of Chest 116 

Ascending Spica of Groin 119 

Double Ascending Spica of Groin 121 

Suspensory of Breast 122 

Double Suspensory of Breasts 125 

Velpeau's Bandage 128 

Desault's Dressing 132 

Plaster Bandages 143 

Preparation of Plaster Bandages 143 

To Apply Plaster Bandages 144 

Removal of Cast 147 

Handkerchief Bandages 148 

Triangle Handkerchief Bandages 148 

Fronto-occipital Triangle 149 

Hand Triangle 149 

Brachiocervical Triangle or Sling 151 

Triangle of Foot 153 

Triangle of One Breast 154 



CONTENTS 5 

Handkerchief Bandages — Triangle Handkerchief p AGE 
Bandages: 
Triangle of Both Breasts or Thoracicoscapular 

Triangle 154 

Triangle of Buttocks or Diaper or Sacropubic 

Triangle 155 

Cravat Handkerchief Bandage 156 

Cravat of Head or Occipitofrontomentovertico 

Cravat 156 

Brachiocervical Cravat 159 

Cravat of Arm 160 

Cravat of Thigh 161 

Tailed Bandages or Binders 162 

Four-tailed Bandage 162 

Four-tailed Bandage of Chin 164 

T-Bandage or T-Binder 165 

To Apply T-Bandage or T-Binder 165 

Double Tailed T-Bandage 166 

Y-Bandage or Y-Binder 166 

To Apply Y-Bandage of the Breasts 166 

V-Bandage or V-Binder 167 

To Apply V-Bandage 168 

Scultetus or Many-tailed Binder 168 

To Apply Scultetus Binder 168 

Straight Abdominal Binder 169 

To Apply Abdominal Binder 169 

Fitted Breast Binder 171 

To Apply Fitted Breast Binder 171 



Index 173 



LIST OF ILLUSTRATIONS 



Fig. Page 

1 Circular Turns 16 

2 Spiral Turns 17 

3 First Step of Spiral Reverse Turn 19 

4 Last Step of Spiral Reverse Turn 20 

5 Recurrent Turns 21 

6 Oblique Turn 22 

7 Figure-of-8 Turn 23 

8 Forming a Core of a Roller Bandage 24 

9 Rolling a Bandage 25 

10 Rolling a Bandage 26 

1 1 Handing a Bandage 28 

12 Holding a Bandage 29 

13 Placing the Initial Extremity 30 

14 Methods of Fastening a Bandage 31 

15 Removing a Bandage 32 

16 Removing a Finger Bandage 33 

17 Carrying the Bandage Across the Dorsum of Hand. 33 

18 Spiral Reverse Turn Around Fingers 35 

19 Figure-of-8 Turns Around the Palm of the Hand. 36 

20 Bandage of Upper Extremity 36 

21 Circular Turn About Point of Elbow 37 

22 First Loop of Figure-of-8 Turn About Elbow 38 

23 Bandage of Upper Extremity, Arm Flexed 38 

24 Circular Turns Around Point of Elbow 40 

25 First Loop of Figure-of-8 Turn of Elbow 41 

26 Figure-of-8 Turn About Elbow 42 

27 Figure-of-8 Bandage of Elbow 43 

28 Beginning of Figure-of-8 Turn of Thumb 45 

29 Ascending Spica of Thumb 45 

30 Circular Turn of Base of Thumb 47 

31 Descending Spica of Thumb 47 

32 Spiral Turn of Finger 49 

33 Bandage of One Finger 49 

34 Recurrent Turns 50 

35 Small Bandage of One Finger 51 

36 Small Bandage of One Finger 51 

37 Circular Turn Around End of Finger 53 

7 



8 LIST OF ILLUSTRATIONS 

Fig. Page 

38 Gauntlet Bandage 54 

39 Circular Turn Around Base of Finger 56 

40 Demigauntlet Bandage S6 

41 Bandage of Fist or Stump 57 

42 Oblique Turn of Ankle 59 

43 Carrying the Bandage Diagonally Across the Dor- 

sum of the Foot 60 

44 Spiral Reverse Turn Around Foot 61 

45 Bandage of Foot 62 

46 Figure-of-8 Bandage of Knee 63 

47 Bandage of Lower Extremity 64 

48 Circular Turn Around Point of Heel 66 

49 Around Point of Heel on Inside of Foot 67 

50 Around Point of Heel on Outer Side of Foot 68 

51 Complete Bandage of Foot 68 

52 Vertical Circular Turn Around Face 70 

53 Right-angled Reverse 71 

54 Occipitofacial Bandage 72 

55 Circular Horizontal Turn Around Vault of Cranium 73 

56 Beneath Ear of Sound Side and Under Chin ....... 74 

57 Up Injured Side of Face 75 

58 Jaw Bandage (Side of Injury) 76 

59 Jaw Bandage (Sound Side) 77 

60 From Ramus of Jaw to Tuberosity of Parietal Bone 79 

61 Bandage of One Eye, or Monocle 79 

62 Bandage of Both Eyes, or Binocle 80 

63 Right-angled Reverse 80 

64 Recurrent Bandage of Head 82 

65 Recurrent Bandage of Head 83 

66 Placing Double Roller Bandage 85 

67 Passing Roller of Right Hand Over Roller of Left 

Hand 86 

68 Reverse at Occiput 87 

69 Bringing Roller of Left Hand Down Over Horizontal 

Turns 88 

70 Passing Roller of Right Hand Over Bandage of 

Recurrent Turns 89 

71 Reverse at the Frontal Portion of the Head 90 

72 Circular Horizontal Turns of Both Bodies of Double 

Roller 92 



LIST OF ILLUSTRATIONS 9 

Fig. Page 

73 White's Bandage _ 93 

74 Circular Turn About Chin 94 

15 Hunter's V-Bandage 95 

16 Covering Lobe of Ear and Mastoid Process 97 

77 Covered Mastoid Process and Slit Ends of Bandage 98 

78 Ends Pulled Through Underneath Bandage to 

Opposite Sides 99 

79 Cowan's Bandage of Ear or Mastoid Process 99 

80 Vertical and Occipitofrontal Turns of Gibson's 

Bandage _ 100 

81 Third Group of Turns of Gibson's Bandage 101 

82 Back View of Gibson's Bandage 102 

83 Placing of Initial Extremity of Barton's Bandage. . 103 

84 Passing Roller from Occiput to Vertex 105 

85 Down Sound Side of Face 106 

86 Up Injured Side of Face 107 

87 Fixing of Barton's Bandage 108 

88 Last Step of First Turn of Barton's Bandage 109 

89 Completed First Turn of Barton's Bandage 110 

90 Barton's Bandage Ill 

91 Oblique Method: Fixing of Figure-of-8 Bandage 

of Neck and Axilla 113 

92 Figure-of-8 Bandage of Neck and Axilla 113 

93 Fixing by Oblique Method: Bandage of Back and 

Shoulders 114 

94 Bandage of Back and Shoulders 115 

95 Crossing Bandage at Median Line of Shoulders . . . 117 

96 Spica of Shoulder 117 

97 Spiral Bandage of Chest 118 

98 Beginning First Turn of Spica of Groin 119 

99 Spica of Groin 120 

100 Oblique Method: Fixing of Bandage of Groin 121 

101 Double Bandage of Groin 122 

102 Oblique Method of Fixing Bandage of One Breast . 123 

103 Bandage of One Breast 124 

104 First Turn of Bandage of Both Breasts, Anterior 

View 126 

105 First Turn of Bandage of Both Breasts, Posterior 

View.... 127 

106 Bandage of Both Breasts 128 



10 LIST OF ILLUSTRATIONS 

Fig. Page 

107 Fixing of Velpeau's Bandage 129 

108 Second Turn of Velpeau's Bandage 130 

109 Velpeau's Bandage 131 

110 Wedge-shaped Pad 132 

111 Fixing of First Roller of Desault's Dressing 133 

112 Spiral Turns of First" Roller of Desault's Dressing. 133 

113 The First Rcller of Dfsauft's Dressing, Front View 134 

114 The First Roller of Desault's Dressing, Back View 135 

115 Fixing of Second Roller of Desault's Dressing 136 

116 The Second Roller of Desault's Dressing 138 

117 Placing of Initial Extremity of Third Roller of De- 

sault's Dressing 139 

118 Fixing of Third Roller of Desault's Dressing 140 

119 Back View of First Turn of Third Roller of De- 

sault's Dressing 141 

120 Desault's Dressing 142 

121 Grasping Plaster-of-Paris Bandage 145 

122 Wringing Plaster-of-Paris Bandage 146 

123 Fronto-occipital Triangle: Triangle of Hand; Tri 

angle of One Breast 150 

124 Fronto-occipital Triangle: Triangle of Beth Breasts; 

Cravat of Arm 151 

125 Brachiocervical Triangle 152 

126 Triangle of Foot 153 

127 Triangle of Foot 154 

128 Triangle of Buttocks; Cravat of Thigh 155 

129 Simple Knot in Cravat 157 

130 Separating Folds of the Knot 158 

131 Occipitofrontomentovertico Cravat 159 

132 Brachiocervical Cravat 160 

133 A, Four-tailed Bandage; B, T-Binder; C, Double 

Tailed T-Bandage; D, Y-Bandage or Binder; E, 
V-Binder; F, Scultetus Binder; G, Straight Ab- 
dominal Binder; H, Fitted Breast Binder 163 

134 Four-tailed Bandage of Chin 164 

135 T-Bandage or T-Binder 165 

136 V-Bandage or V-Binder 167 

137 Scultetus Binder 109 

138 Straight Abdominal Binder 170 

139 Fitted Breast Binder. 171 



BANDAGES AND BANDAGING 
FOR NURSES 



BANDAGING 

Bandaging is the art of applying a material to 
retain other materials, to exert pressure, to sup- 
port, or to immobilize. 

Purposes: 1. Retain dressings and splints. 

2. Exert pressure. 

3. Support. 

4. Immobilize. 
Kinds: 1. Roller bandages. 

2. Handkerchief bandages. 
.3. Tailed bandages or binders. 

ROLLER BANDAGES 

The roller bandage is a strip of material so 

wound upon itself as to form a compact roll. 

Size: 1. Length, 2 to 10 yards. 

2. Width, f inch to 6 inches. 

Fingers,] Length, 2 to 5 yards. 

Toes J Width, f inch to 1J inches. 

n 



12 BANDAGES AND BANDAGING FOR NURSES 



Head, 

Neck, 

Hands, I Length, 2 to 10 yards. 

Forearms, Width, 2 to 2| inches. 

Feet, 

Legs 

Arms, 

Chest, 

Thighs 

Trunk 



Length, 2 to 10 yards. 
Width, 2\ to 4 inches. 

Length, 2 to 10 yards. 
{Width, 3 to 6 inches. 



MATERIALS 

1. Gauze is light, cool, soft, pliable, and ab- 
sorbent. Bandages prepared from gauze may be 
made entirely by machinery and come prepared 
for use. They may be partially prepared by 
machinery. The material comes in long rolls 
which may be cut into the desired widths by means 
of a very sharp knife. They may be made en- 
tirely by hand. The material is either cut or torn 
into the desired widths and then rolled by hand. 
The strips of material may also be rolled by means 
of the hand roller bandage machine. The nature 
of gauze makes the bandage one especially useful 
to retain dressings and splints. 



ROLLER BANDAGES 13 

2. Muslin is heavier and stronger than gauze, 
but not so pliable. The bandages are prepared 
either by machinery or by hand. The muslin 
bandages are used where support, but not elas- 
ticity, is needed. 

3. Flannel is soft, pliable, and protective. The 
bandages made from flannel are torn or cut into 
desired widths and rolled by hand. This ban- 
dage is used where warmth or protection is needed. 

4. Flannellet is used as a substitute for flannel 
where less warmth is desired. It is also less irri- 
tating to the skin. 

5. Cotton wadding is non-absorbent cotton in 
sheet form. Bandages are cut or torn from these 
sheets, rolled, and used as a protective material 
under casts. 

6. Webbing is a woven material. The ban- 
dages, woven in the desired widths, are elastic, 
and, therefore, they are suitable to exert pressure 
evenly. 

7. Woven elastic is an elastic woven material 
made of cotton and rubber. The bandages come 
prepared and are used to exert pressure. 

8. Rubber is a very elastic material. The ban- 
dages are made in the desired widths and are 
known as Esmarch's rubber bandages. Rubber 



14 BANDAGES AND BANDAGING FOR NURSES 

bandages may be made by cutting rubber material 
into the correct widths, but they do not make as 
satisfactory bandages as those prepared for use. 
Rubber bandages are used for pressure, even to 
that extent as to cause restriction of circulation. 

9. Crinoline is a stiff, loosely woven material. 
It is cut or torn into the desired widths, incor- 
porated with starch, silicate of soda, paraffin, or 
plaster of Paris to make bandages for support. 

PARTS 

Single Roller Bandage. — The single roller is a 
rolled strip of material which has the following 
parts: 

1. Body, the roll of bandage. 

2. Inner surface, the surface that when rolled 
upon the bandage is toward the center. 

3. Outer surface, the surface that is on the out- 
side of the roll of the bandage. 

4. Initial extremity, the free end of the roll of 
bandage. 

5. Terminal extremity, the end in the center of 
the roller. 

6. Upper border, the edge designated by the 
relation it bears to the subject, or that border 
which is nearest the patient's head. 



ROLLER BANDAGES 15 

7. Lower border, the opposite of upper border. 

Double Roller Bandage. — The double roller is 
a bandage which differs from the single roller only 
in that it has two bodies instead of one. It has 
no initial extremity, but has two terminal extrem- 
ities. 

APPLICATION 
Turns 

By passing the bandage around or over a part 
we form what is known as a turn. 

1. Circular turn, a turn which overlaps exactly 
the preceding turn (Fig. 1). 

2. Spiral turn, a turn which deviates from the 
course of the preceding turn in a like manner to the 
threads of a screw, usually overlapping from one- 
third to three-fourths the width of the bandage 
(Fig. 2). 

3. Spiral reverse turn, a turn which, in order to 
fit the increasing dimensions of the part, necessi- 
tates a reverse. Place the thumb of the left 
hand on the bandage to hold from slipping. Un- 
roll enough bandage to reach to the other side of 
the part you are bandaging. Allow the bandage 
between the thumb of the left hand and the roller 
held in the right hand to be slack. Pronate the 
right hand and carry the bandage underneath the 



16 BANDAGES AND BANDAGING FOR NURSES 




Fig. 1. — Circular turns. 



ROLLER BANDAGES 



17 




Fig. 2. — Spiral turns. 



18 BANDAGES AND BANDAGING FOR NURSES 

part to the other side (Fig. 3). Not until then is 
the slack removed by the traction necessary to 
produce the same tension as that used in the rest 
of the bandage (Fig. 4). 

4. Recurrent turn, a turn which is caught back 
upon itself, either exactly over or overlapping the 
preceding turn (Fig. 5). 

5. Oblique turn, a turn which at the point of 
intersection of the roller is brought obliquely over 
the initial extremity (Fig. 6). 

6. Figure-of-8 turn, a turn which is made up of 
two converging loops or oblique turns made in 
different directions around different parts (Fig. 7). 

To Roll 

1. Fold the terminal end of the bandage upon 
itself until a sufficient amount is had to make a 
core (Fig. 8). 

2. Grasp longitudinally between the thumb and 
the index-finger of the left hand. Hold so that the 
outer surface of the bandage is uppermost (Fig. 9). 

3. Revolve by thumb and finger of right hand. 

4. Guide bandage, in order to roll neatly, by al- 
lowing it to slip through between the index-finger 
and middle finger of the right hand (Fig. 10). 



ROLLER BANDAGES 



19 




Fig. 3. — First step of spiral reverse turn. 



20 BANDAGES AND BANDAGING FOR NURSES 




Fig. 4. — Last step of spiral reverse turn. 



ROLLER BANDAGES 



21 




Fig. 5. — Recurrent tui 



22 BANDAGES AND BANDAGING FOR NURSES 




Fig. 6. — Oblique turn. 



ROLLER BANDAGES 23 




Fig 7. — Figure-of-8 turn. 



24 BANDAGES AND BANDAGING FOR NURSES 




Fig. 8. — Forming a core of a roller bandage. 



ROLLER BANDAGES 25 




Fig. 9. — Rolling a bandage. 



26 BANDAGES AND BANDAGING FOR NURSES 




Fig. 10. — Rolling a bandage. 



ROLLER BANDAGES 27 

To Hand to Another 
Hold the body of the bandage in the left hand 
and grasp initial extremity, with inner surface 
uppermost, between the thumb and the index- 
finger of the right hand (Fig. 11). 

To Apply 

1. Hold the body of the bandage in the right 
hand with the roll uppermost and grasp the initial 
extremity between the thumb and the index- 
finger of the left hand (Fig. 12). 

2. Place the initial extremity of the bandage 
over the point of fixing with the inner surface up- 
permost and bandage from left to right (Fig. 13). 
Exception: Some special bandages are applied 
from right to left. 

To Fix 

Fixing is the method of holding the initial ex- 
tremity of a bandage. 

1. Circular turns — two or three (Fig. 1). 

2. Oblique turn — one (Fig. 6). 

3. Figure-of-8 turn — one (Figs. 7, 87). 

To Secure or Fasten 

1. Slit end of bandage and tie. 

2. Pin. 



28 BANDAGES AND BANDAGING FOR NURSES 




Fig. 11. — Handing a bandage. 



ROLLER BANDAGES 



29 




Fig. 12. — Holding a bandage. 



30 BANDAGES AND BANDAGING FOR NURSES 




Fig. 13. — Placing the initial extremity. 



ROLLER BANDAGES 31 



3. Sew. 

4. Stick with adhesive (Fig. 14), 




Fig. 14. — Methods of fastening a bandage. 

To Remove 

Method 1. — Cut through all of the turns of the 
bandages at a point of no injury, if possible, with 
a pair of bandage scissors. 

Method 2. — Loosen terminal extremity and 
unwind. Pass the loosened end of the bandage 
from hand to hand as the bandage is unwound. 
Do not allow loops to dangle (Fig. IS). 

The method of removal of a bandage from the 
fingers is a little different. Carry the loosened 
end to the end of the finger, make gentle traction, 
and follow the circular course of the bandage 
around the end of the finger (Fig. 16). 



32 BANDAGES AND BANDAGING FOR NURSES 




Fig. 15. — Removing a bandage. 



ROLLER BANDAGES 



33 




Fig. 16. — Removing a finger bandage. 




Fig. 17. — Carrying the bandage across the dorsum of hand. 



34 BANDAGES AND BANDAGING FOR NURSES 

UPPER EXTREMITY 
Spiral Reverse Bandage of Upper Extremity 

(2- to 2^-inch Bandage) 

1. Face patient and bandage from left to right 
(Fig. 13). 

2. Fix the bandage by circular turns about the 
wrist (Fig. 1). It may be fixed by an oblique turn 
(Fig. 6). 

3. Carry the bandage down and across the dor- 
sum of the hand to the tips of the fingers and make 
one circular turn, followed and overlapped two- 
thirds of the width of the bandage by one spiral 
turn and one spiral reverse turn about the fingers 
(Figs. 17, 18). 

4. Make two figure-of-8 turns about the palm 
of the hand. Alternate the loops of the figure-of-8 
turn above and below the thumb (Figs. 7, 19). 

5. Continue up the wrist and forearm with spiral 
turns until a point is reached that the increasing 
diameter requires the use of the spiral reverse 
turns (Figs. 3, 4). 

6. Make these until near the elbow, when the 
spiral turns may again be used over the elbow and 
up the arm (Fig. 20). If forearm is flexed, use 
figure-of-8 turns about the elbow (Figs. 21, 22, 23). 
(Also see Figs. 24, 25, 26, 27.) 



ROLLER BANDAGES 



35 




Fig. 18. — Spiral reverse turn around fingers. 



36 BANDAGES AND BANDAGING FOR NURSES 




Fie;. 19.— Figure-of-8 turns around the palm of the hand. 




Fig. 20. — Bandage of upper extremity. 



ROLLER BANDAGES 37 




Fig. 21. — Circular turn about point of elbow. 



38 BANDAGES AND BANDAGING FOR NURSES 




Fig. 22. — First loop of figure-of-8 turn about elbow. 




Fig. 23. — Bandage of upper extremity, arm, flexed. 



ROLLER BANDAGES 39 

7. Use spiral reverse turns for arm only if neces- 
sary. 

8. Finish with a circular turn and fasten the 
terminal end (Fig. 20). 

Use. — To retain dressings and splints and to 
exert pressure. 

FlGURE-OF-8 BANDAGE OF ELBOW 

(2- to 2^-inch Bandage) 

1. Face patient and bandage from left to right. 

2. Fix the bandage by circular turns over the 
point of the elbow (Fig. 24). 

3. The third time the inner surface of the elbow 
is reached carry the roller up and around the arm, 
overlapping the upper half of the circular turn 
over the point of the elbow and exactly overlapping 
at the inner angle of the elbow (Fig. 25). Carry 
the roller down from the inner side of the arm 
and around the forearm, overlapping one-half of the 
circular turns over the point of the elbow and 
exactly overlapping at the inner angle. These 
two turns complete one figure-of-8 turn (Fig. 26). 

4. Make four or five figure-of-8 turns and fasten 
the terminal end at the front (Fig. 27). 

Use. 1 — To retain dressings. 



40 BANDAGES AND BANDAGING FOR NURSES 




Fig. 24. — Circular turns around point of elbow. 



ROLLER BANDAGES 41 




Fig. 25. — First loop of figure-of-8 turn of elbc 



42 BANDAGES AND BANDAGING FOR NURSES 




Fig. 26. — Figure-of-8 turn about elbow. 



ROLLER BANDAGES 43 




Fig. 27. — Figure-of-8 bandage of elbow. 



44 BANDAGES AND BANDAGING FOR NURSES 
Ascending Spica of Thumb 

(1-inch Bandage) 

1. Face patient and bandage from left to right 
(Fig. 13). ' 

2. Fix the bandage by circular turns around the 
wrist (Fig. 1). 

3. Carry the roller to tip of the thumb and make 
a circular turn (Fig. 28). 

4. Carry the roller back up to and around the 
wrist, then down and around the thumb. The 
two turns, one about the wrist and one about the 
thumb, make a complete figure-of-8 turn. 

5. Make enough figure-of-8 turns to cover the 
thumb, each turn ascending and overlapping two- 
thirds. Intersections should be in a straight line 
over the dorsum of the thumb. 

6. Finish by circular turns and fasten the 
terminal end at the wrist (Fig. 29). 

Use. — To retain dressings and splints. 

Descending Spica of Thumb 
(1-inch Bandage) 

1. Face patient and bandage from left to right 
(Fig. 13). 

2. Fix the bandage by circular turns about the 
wrist (Fig. 1). 



ROLLER BANDAGES 



45 




Fig. 28.— Beginning of figure-of-8 turn of thumb. 




Fig. 29.— Ascending spica. of thumb. 



46 BANDAGES AND BANDAGING FOR NURSES 

3. Carry the roller to the base of the thumb and 
make a circular turn (Fig. 30). 

4. Carry the roller back up to and around the 
wrist, then down and around the thumb. The 
two turns, one about the wrist and one about the 
thumb, make a complete figure-of-8 turn. 

5. Make enough figure-of-8 turns to cover the 
thumb, each turn descending and overlapping two- 
thirds. Intersections should be in a straight line 
over the dorsum of the thumb. 

6. Finish by circular turns and fasten the termi- 
nal end at the wrist (Fig. 31). 

Use. — To retain dressings and splints. 

Bandage of One Finger 

(1-inch Bandage) 

1. Face patient and bandage from left to right. 
The hand should be pronated and the ringers ex- 
tended. 

2. Fix by circular turns around the wrist (Fig. 

i). 

3. Carry the roller across the dorsum of the 
hand to the base of the finger, around, and then to 
the tip of the finger by one or two spiral turns (Fig. 
32). 



ROLLER BANDAGES 



47 




Fig. 30. — Circular turn of base of thumb. 




Fig. 31. — Descending spica of thumb 



48 BANDAGES AND BANDAGING FOR NURSES 

4. Cover the end of the ringer with two or three 
recurrent turns. 

5. Ascend the ringer by spiral turns, which over- 
lap two-thirds. 

6. From the base of the finger carry the bandage 
across the dorsum of the hand to the wrist. 

7. Finish with a circular turn and fasten the 
terminal end (Fig. 33). 

Use. — To retain dressings. 

(The same bandage, omitting recurrent turns 
of the tip of the finger, is used to retain splints.) 

Small Bandage of One Finger 

(f- to 1-inch Bandage) 

1. Face patient and bandage from left to right. 
The hand should be pronated and the fingers ex- 
tended. 

2. Cover the tip of the finger with two or three 
recurrent turns (Fig. 34). 

3. Ascend the finger by spiral turns which over- 
lap two-thirds. 

4. Finish with a circular turn. 

5. Fasten with J-inch strips of adhesive from 
the tip of the finger over the dorsum of the hand 
about 2 inches (Figs. 35, 36). 

Use. — To retain small dressings and to give pro- 
tection. 



ROLLER BANDAGES . 49 




Fig. 32.— Spiral turn of finger. 




Fig. 33. — Bandage of one finger. 



50 BANDAGES AND BANDAGING FOR NURSES 




Fig. 34. — Recurrent turns. 



ROLLER BANDAGES 



51 




Fig. 35. — Small bandage of one finger. 




Fig. 36. — Small bandage of one finger. 



52 BANDAGES AND BANDAGING FOR NURSES 
Gauntlet Bandage 

(1- to 1^-inch Bandage) 

1. Face patient and bandage from left to right. 
The hand should be pronated and the fingers ex- 
tended. 

2. Fix by circular turns about the wrist (Fig. 1). 

3. Carry the roller across the dorsum of the hand 
to the tip of the index-finger if the right hand. 
If the left hand, carry to the tip of the little finger. 

4. Make a circular turn about the tip of the 
finger (Fig. 37). 

5. Ascend by spiral turns to the base of the 
finger. If necessary, use spiral reverse turns. 

6. Carry the roller across the dorsum of the hand 
to the wrist and make a circular turn. 

7. In like manner bandage each finger and then 
the thumb last. 

8. Finish with a circular turn at the wrist and 
fasten the terminal end (Fig. 38). 

Use. — -To retain dressings and splints and to give 

protection. 

Demigauntlet Bandage 

(1- to 1^-inch Bandage) 

1. Face patient and bandage from left to right. 
The hand should be pronated and the fingers ex- 
tended. 



ROLLER BANDAGES 53 




Fig. 37. — Circular turn around end of ringer. 



54 BANDAGES AND BANDAGING FOR NURSES 




Fig. 38. — Gauntlet bandage. 



ROLLER BANDAGES 55 

2. Fix by circular turns around the wrist (Fig. 

i). 

3. Carry the roller across the dorsum of the 
hand to the base of the index-finger if the right 
hand (Fig. 39). If the left hand, carry to the base 
of the little finger. 

4. Make a circular turn and carry the roller 
back up across the dorsum of the hand to the 
wrist. 

5. In like manner bandage each finger and then 
the thumb last. 

6. Finish with a circular turn at the wrist and 
fasten the terminal end (Fig. 40). 

Use. — To retain dressings and to give protec- 
tion. 

Recurrent Bandage for Fist or Stump 

(2- to 3^-inch Bandage) 

1. Face patient and bandage from left to right. 

2. Fix by circular turns around the wrist for 
fist bandage (Fig. 1). Fix by circular turns 
around the part to be bandaged for a stump 
bandage. 

3. Carry the bandage down and cover the entire 
fist, or stump, with recurrent turns (Fig. 5). 

4. Retain recurrent turns with ascending spiral 
turns until the point of fixing is reached. 



56 BANDAGES AND BANDAGING FOR NURSES 




Fig. 39. — Circular turn around base of finger. 




Fig. 40. — Demigauntlet bandage. 



ROLLER BANDAGES 



57 



5. Finish with a circular turn and fasten the 
terminal end (Fig. 41). 

Use. — To retain dressings and to give protection. 




Fig. 41. — Bandage of fist or stump. 



LOWER EXTREMITY 
Spiral Reverse Bandage of Lower Extremity 

(2- to 3-inch Bandage) 

1. Face the patient and bandage from left to 
right. 



58 BANDAGES AND BANDAGING FOR NURSES 

2. Fix the bandage by an oblique turn or circu- 
lar turns around the ankle (Figs. 42, 43). Carry 
the bandage down diagonally across the dorsum of 
the foot (Fig. 43). 

3. Make a circular turn around the foot, then a 
spiral turn and a spiral reverse turn, followed by 
two figure-of-8 turns about the heel (Figs. 44, 45). 

4. Cover the ankle and the leg with spiral turns 
until a point is reached that its increasing diameter 
necessitates spiral reverse turns. 

5. Continue with spiral reverse turns to the 
region of the knee. If the knee is flexed, cover by 
figure-of-8 turns (Fig. 46). If the leg is extended, 
cover by spiral turns. 

6. Use spiral turns to cover the thigh unless the 
increasing diameter necessitates spiral reverse 
turns. 

7. Terminate with a circular turn and fasten 
(Fig. 47). 

Use. — To support, to exert pressure, to give 
protection, and to retain dressings and splints. 

Complete Bandage of Foot 

(2|- to 3-inch Bandage) 

1. Face the patient and bandage from left to 
right. 



ROLLER BANDAGES 



59 




Fig. 42. — Oblique turn of ankle. 



60 BANDAGES AND BANDAGING FOR NURSES 




Fig. 43. — Carrying the bandage diagonally across the dorsum of the foot. 



ROLLER BANDAGES 



61 




Fig. 44. — Spiral reverse turn around foot. 



62 BANDAGES AND BANDAGING FOR NURSES 




Fig. 45. — Bandage of foot. 



ROLLER BANDAGES 



63 




Fig. 46. — Figure-of-8 bandage of knee. 



64 BANDAGES AND BANDAGING FOR NURSES 




Fig. 47. — Bandage of lower extremity. 



ROLLER BANDAGES 65 

2. Fix the initial extremity at the ankle (Fig. 
42). Carry the roller diagonally across the dor- 
sum of the foot to the toes (Fig. 43). 

3. Make a circular turn, a spiral, and a spiral 
reverse turn around the foot (Fig. 44). 

4. Carry the bandage up over the instep and 
then down under the point of the heel and back to 
the instep (Fig. 48). 

5. From there pass it to the sole of the foot and 
around the heel to the tendon of Achilles and back 
to the instep on the same side (Fig. 49). 

6. Carry the roller to the sole of the foot on the 
other side and around the point of the heel to the 
tendon of Achilles and back up to the ankle (Fig. 
50). 

7. Terminate with a circular turn at the ankle 
and fasten (Fig. 51). 

Use. — To exert pressure, to give protection, and 
to retain dressings. 

HEAD 
Occipitofacial Bandage 

(2- to 2|-inch Bandage) 

1. Face the patient and carry the roller from left 
to right if the injury is on the right side, and from 
right to left if on the left side. (Always carry the 
bandage up the injured side.) 



66 BANDAGES AND BANDAGING FOR NURSES 




Fig. 48. — Circular turn around point of heel. 



ROLLER BANDAGES 67 




Fig. 49. — Around point of heel on inside of foot. 



68 BANDAGES AND BANDAGING FOR NURSES 




Fig. 50. — Around point of heel on outer side of foot. 




Fig. 51. — Complete bandage of foot. 



ROLLER BANDAGES 69 

2. Fix the bandage by vertical, circular turns 
around the face (Fig. 52). 

3. Upon reaching the temple the third time, 
make a right-angled reverse (Fig. 53). Carry the 
roller back above the ear to the occiput, across 
beneath the occiput, and above the ear to the other 
temple. 

4. Pin at the terminal end and at the right- 
angled reverse (Fig. 54). 

Use. — To support and to retain dressings. 

Jaw Bandage 

(2- to 2^-inch Bandage) 

1. Face patient and carry the roller from left 
to right if the injury is on the left side, and from 
right to left if on the right side. 

2. Fix the bandage by circular horizontal turns 
around the vault of the cranium (Fig. 55). 

3. After reaching the occiput the third time, 
carry the bandage beneath the ear of the sound 
side, under the chin, and up the injured side of the 
face to the vertex (Figs. 56, 57). The edge of the 
bandage should come just to the angle of the mouth. 

4. Descend from the vertex, behind the ear on 
the sound side to the chin. 

5. Make enough like turns to cover the entire 



70 BANDAGES AND BANDAGING FOR NURSES 




Fie;. 52. — Vertical circular turn around face. 



ROLLER BANDAGES 71 




Fig. 53. — Right-angled reverse. 



72 BANDAGES AND BANDAGING FOR NURSES 




Fig. 54. — Occipitofacial bandage. 



ROLLER BANDAGES 



73 




Fig. 55. — Circular horizontal turn around vault of cranium. 



74 BANDAGES AND BANDAGING FOR NURSES 




Fig. 56. — Beneath'ear of sound side and under chin. 



ROLLER BANDAGES 



IS 




Fig. 57. — Up injured side of face. 



76 BANDAGES AND BANDAGING FOR NURSES 

injured side of the face. Overlap one-half or two- 
thirds each ascending turn (Fig. 58). Exactly 
overlap each descending turn (Fig. 59). 




Fig. 58. — Jaw bandage (side of injury). 



6. Finish with a right-angled reverse at the 
temple and a horizontal circular turn around the 
vault of the cranium (Figs. 58, 59). 

7. Pin at the terminal end and at each intersec- 
tion. 

Use. — To support, to immobilize, and to retain 
dressings and splints. 



ROLLER BANDAGES 



77 




Fig. 59. — Jaw bandage (sound side). 



Monocle or Bandage of One Eye 

(2- to 2|-inch Bandage) 

1. Face patient and carry the roller from left 
to right if the right eye is to be bandaged, and 
from right to left if the left eye is to be bandaged. 

2. Fix the bandage by circular horizontal turns 
about the vault of the cranium (Fig. 55). 

3. The third time the occiput is reached, carry 
the roller forward beneath the ear, to the ramus of 
the jaw, and obliquely across the eye up to the 



78 BANDAGES AND BANDAGING FOR NURSES 

tuberosity of the parietal bone on the sound side 
(Fig. 60). From there carry the roller back to the 
occiput or the starting-point of the turn. 

4. Repeat this turn two or three times, each turn 
overlapping, ascending on the face, over the eye, 
and descending on the scalp. 

5. Finish with a circular horizontal turn around 
the vault of the cranium and terminate at the 
temple (Fig. 61). 

6. Pin the terminal end and the intersections. 
Use. — To retain dressings and to give protec- 
tion. 

Binocle or Bandage of Both Eyes 

(2- to 2|-inch Bandage) 

1. Apply bandage of one eye, but instead of 
fastening upon reaching the occiput, proceed with 
the bandage of the other eye. 

2. Carry the bandage from the occiput up over 
the tuberosity of the parietal bone, down and 
across the other eye, and beneath the ear to the 
occiput. 

3. The eye is then covered with these turns, each 
turn overlapping, descending on the face over the 
eye and ascending on the scalp. 

4. Finish with a circular horizontal turn around 



ROLLER BANDAGES 79 




Fig. 60. — From ramus of jaw to tuberosity of parietal bone. 




Fig. 61. — Bandage of one eye, or monocle. 



80 BANDAGES AND BANDAGING FOR NURSES 




Fig. 62. — Bandage of both eyes, or binocle. 




Fig. 63. — Right-angled reverse. 



ROLLER BANDAGES 81 

the vault of the cranium and terminate at the 
temple (Fig. 62). 

5. Pin the terminal end and at intersections. 
Use. — To retain dressings and to give protec- 
tion. 

Recurrent Bandage 

(2- to 2^-inch Bandage) 

1. Face patient and fix the bandage with circular 
horizontal turns around the vault of the cranium 
(Fig. 55). 

2. The third time the occiput is reached make 
a right-angled reverse and carry the bandage up 
across the vertex of the head in the median line 
(Fig. 63). 

3. Bring the bandage to the lower edge of the 
circular turns in the median line of the frontal por- 
tion of the head. 

4. Reverse and carry the roller to the left (pa- 
tient's left) of the median line and backward to the 
occiput to the lower edge of the horizontal turn. 
Overlap the preceding turn one-half. Reverse at 
the occiput and bring the roller forward to the 
right (patient's right) of the median line to the 
lower edge of the horizontal turns at the median 
line of the frontal portion of the head. Overlap 
the median turn one-half. 

6 



82 BANDAGES AND BANDAGING FOR NURSES 

5. Reverse and again carry the roller to the left 
of the median line from the frontal portion of the 
head to the occiput. Reverse and again bring the 
roller forward to the right of the median line from 




Fig. 64. — Recurrent bandage of head. 



the occiput to the frontal portion of the head. 
Overlap. 

6. By means of the recurrent turns cover the 
entire scalp. Overlap each preceding turn three- 
fourths of the width of the bandage. 

7. Finish with two horizontal circular turns 



ROLLER BANDAGES 83 

around the vault of the cranium to hold the recur- 
rent turns. 

8. Pin at both the frontal portion of the head and 
at the occiput (Figs. 64, 65). 

Use. — To exert pressure and to retain dressings. 




Fig. 65.— Recurrent bandage of head. 

Double-headed Recurrent Bandage 
(Double Roller— 2- to 2^-inch Bandage) 

1. Face patient. 

2. Place the double roller with the outer surface 



84 BANDAGES AND BANDAGING FOR NURSES 

of the bandage between its two bodies upon the 
forehead (Fig. 66). 

3. Carry the rollers back above the ears to the 
occiput. 

4. At the occiput the roller in the right hand is 
continued in its circular horizontal course, while 
the roller in the left hand is reversed at the occiput 
and brought up over the vertex of the head in the 
median line over the horizontal turn (Figs. 67, 
68, 69). 

5. The roller of the right hand is then continued 
on its circular horizontal course over the other 
bandage (Fig. 70). 

6. Reverse and carry the roller of the left hand 
to the left (patient's left) of the median line and 
backward to the occiput below the horizontal turn. 
Hold the turn in place by a circular horizontal turn 
of the roller of the right hand (Fig. 71). 

7. Reverse the roller of the left hand at the 
occiput. Bring it up to the right (patient's right) 
of the median line and across the top of the head to 
below the horizontal turn. Again hold this turn 
in place by the circular horizontal turn of the 
roller of the right hand. 

8. Continue thus with the recurrent turns 
(those of the left side from the frontal portion of the 



ROLLER BANDAGES 



85 




Fig. 66. — Placing double roller bandage. 



86 BANDAGES AND BANDAGING FOR NURSES 




Fig. 67. — Passing roller of right hand over roller of left hand. 



ROLLER BANDAGES 



87 




Fig. 68. — Reverse at occiput. 



88 BANDAGES AND BANDAGING FOR NURSES 



- - 




i 


*H Hk 




W-Z 


1 






r J 




Vx 1 




H* 








v ^K 




.JBP^^ 


■HHH ■ 





Fig. 69. — Bringing roller of left hand down over horizontal turns. 



ROLLER BANDAGES 89 




Fig. 70. — Passing roller of right hand over bandage of recurrent turns. 



90 BANDAGES AND BANDAGING FOR NURSES 




Fig. 71. — Reverse at the frontal portion of the head. 



ROLLER BANDAGES 91 

head to the occiput, and those of the right side 
from the occiput to the frontal portion of the head) 
of the left roller, and hold in place by the horizontal 
turns of the roller of the right hand, until the entire 
scalp is covered. 

9. After the scalp is entirely covered, carry the 
roller of the recurrent turns from the occiput 
around in the course and in the direction of the cir- 
cular horizontal turns, followed by your roller of 
the circular horizontal turns until one entire cir- 
cular horizontal turn is made with the two rollers 
(Fig. 72). 

10. Terminate and pin at the temple (Figs. 64, 
65). 

Use. — To exert pressure and to retain dressings. 

White's Bandage or Figure-of-8 Bandage of Head and Neck 

(2- to 2§-inch Bandage) 

1. Face patient and fix the bandage by circular 
horizontal turns around the vault of the cranium 
(Fig. 55). 

2. The third time the occiput is reached, carry 
the bandage down and around the neck and back 
to the occiput. 

3. Alternate head and neck turns. The two 
turns make a complete figure-of-8 turn. 



92 BANDAGES AND BANDAGING FOR NURSES 




Fig. 72. — Circular horizontal turns of both bodies of double roller. 



ROLLER BANDAGES 



93 




Fig. 73. — White's bandage. 

4. Make three complete figure-of-8 turns and 
fasten by pinning at the temple (Fig. 73). 
Use. — To retain dressings. 



HUNTER'S V BANDAGE OR FlGURE-OF-8 BANDAGE OF HEAD 

(2- to 2|-inch Bandage) 

1. Face patient and fix the bandage by circular 
horizontal turns around the vault of the cranium 
(Fig. 55). 

2. The third time the occiput is reached, carry 
the bandage forward beneath the ear, along the 



94 BANDAGES AND BANDAGING FOR NURSES 

jaw to the chin, across the front of the chin, back 
along the jaw, and beneath the ear to the occiput 
(Fig. 74). 




Fig. 74. — Circular turn about chin. 



3. Alternate the turns about the cranium and 
the chin. The two turns make a complete figure- 
of-8 turn. 

4. Make three complete figure-of-8 turns, each 
exactly overlapping the preceding turn. 



ROLLER BANDAGES 95 

5. Terminate the bandage at the temple and pin 
(Fig. 75). 

Use. — To retain dressings. 




Fig. 75. — Hunter's V-bandage. 

Cowan's Bandage of Ear or Mastoid Process 

(2- to 2|-inch Bandage) 

1. Face part to be bandaged and carry the roller 
from left to right if the left ear or mastoid process 
is to be covered, and from right to left if the right 
side. 



96 BANDAGES AND BANDAGING FOR NURSES 

2. Fix the bandage by circular horizontal turns 
around the vault of the cranium (Fig. 55). 

3. On reaching the temple of the affected side 
the third time, carry the roller downward far 
enough to cover well the lobe of the ear and the 
mastoid process (Fig. 76); then back beneath the 
occiput, and continue with similar turns, which 
at the ear overlap each preceding turn one-half, 
until the ear and mastoid process are well covered. 

4. Finish with a circular horizontal turn, slit 
ends (Fig. 11). Pull each end through underneath 
bandage to opposite side and tie near the occiput 
on the injured side (Fig. 78). 

5. Take a short length of bandage, slip beneath 
the entire bandage just in front of the ear, and tie 
(Fig. 79). 

Use. — To retain dressings and to give protection. 

Gibson's Bandage 

(2- to 2|-inch Bandage) 

1. Face patient. Place the initial extremity at 
the temple or vertex and make three vertical turns 
around the face (Fig. 52). Always carry the ban- 
dage up on the injured side. Upon reaching the 
temple the third time, make a right-angled reverse 
(Fig. 53). 



ROLLER BANDAGES 



97 




Fig. 76. — Covering lobe of ear and mastoid process. 



98 BANDAGES AND BANDAGING FOR NURSES 




Fig. 77. — Covered mastoid process and slit ends of bandage. 



ROLLER BANDAGES 



99 




Fig. 78. — Ends pulled through underneath bandage to opposite sides. 




Fig. 79. — Cowan's bandage of ear or mastoid process. 



100 BANDAGES AND BANDAGING FOR NURSES 

2. Carry the bandage back beneath the occi- 
put, up above the ear to the temple, across the 
frontal portion of the head to the temple, and back 
above the ear to the occiput. Make three of these 




Fig. 80. — Vertical and occipitofrontal turns of Gibson's bandage. 



horizontal turns about the vault of the cranium 
(Fig. 80). 

3. The third time the occiput is reached, in 
making the horizontal turns, carry the bandage 
forward beneath the ear along the side of the jaw 
to the chin (Fig. 81) and from this point across the 



ROLLER BANDAGES 



101 



front of the chin and back along the side of the jaw 
to the occiput. Make three such turns. 

4. Make a right-angled reverse at the occiput 
and finish by carrying the bandage, in the median 




Fig. 81. — Third group of turns of Gibson's bandage. 

line, over the vertex of the head to the frontal por- 
tion of the head (Fig. 82). 

5. Pin at the terminal end, right-angled reverse, 
and each intersection. 

Use, — To exert pressure, to support and to re- 
tain dressings. 



102 BANDAGES AND BANDAGING FOR NURSES 




Fig. 82. — Back view of Gibson's bandage. 



ROLLER BANDAGES 



103 



BARTON'S BANDAGE 

(2- to 2^-inch Bandage) 

1. Face patient. Place the initial extremity of 
the roller to the left of the occiput if injury is on 
the right side of the head (Fig. 8/0. Place the 



W 




Fig. 83. — Placing of initial extremity of Barton's bandage. 

initial extremity of the roller to the right of the 
occiput if the injury is on the left side of the head, 
and reverse the whole course of your bandage. 

2. Hold the initial extremity with the left 
thumb or index-finger. 



104 BANDAGES AND BANDAGING FOR NURSES 

3. Carry the roller across beneath the occiput 
to a like point on the other side of the head and up 
to the vertex (Fig. 84). 

4. Down the sound side of the face to the chin 
(Fig. 85). 

5. Under the chin and up the injured side of the 
face to the vertex (Fig. 86). 

6. Cross the other turn of the bandage at the 
vertex exactly at the median line. 

7. Carry the bandage back around the vault of 
the cranium, above the ear to the starting-point 
at the occiput, and cross the initial end obliquely, 
which completes a figure-of-8 turn and fixes the 
bandage (Fig. 87). 

8. Pass the roller from beneath the occiput for- 
ward, under the ear on the injured side, and across 
the jaw to the chin (Fig. 88). 

9. Around the chin and back under the ear to the 
occiput (Fig. 89). This completes one entire turn 
of the bandage. 

10. Repeat twice, making three turns in all. 

11. Finish by fastening terminal end at the ver- 
tex (Fig. 90). 

12. Pin at each intersection. 

Use, — To exert pressure, to support and to re- 
tain dressings. 



ROLLER BANDAGES 105 




Fig. 84. — Passing roller from occiput to vertex. 



H 



106 BANDAGES AND BANDAGING FOR NURSES 




Fig. 85. — Down sound side of face. 



ROLLER BANDAGES 107 




Fig. 86. — Up injured side of face. 



B 



108 BANDAGES AND BANDAGING FOR NURSES 




Fig. 87. — Fixing of Barton's bandage. 



wmammaumm 



ROLLER BANDAGES 109 




Fig. 88. — Last step of first turn of Barton's bandage. 



1 



110 BANDAGES AND BANDAGING FOR NURSES 




Fig. 89. — Completed first turn of Barton's bandage. 



ROLLER BANDAGES 



111 




Fig. 90. — Barton's bandage. 



112 BANDAGES AND BANDAGING FOR NURSES 

TRUNK 
Figure-of-8 Bandage of Neck and Axilla 

(3- to 3^-inch Bandage) 

1. Face the shoulder to be bandaged. Carry 
the bandage from left to right. 

2. Fix the bandage by the oblique method. 
Place the initial extremity on the top of the 
shoulder, carry the bandage under the axilla, back 
up over the initial extremity, and cross in the 
median line of the shoulder (Fig. 91). 

3. Ascend to and encircle the neck. 

4. Carry the roller back to the shoulder and 
cross the bandage in the median line. The two 
turns, one around the neck and the other around 
the arm, make one complete figure-of-8 turn. 

5. Make three figure-of-8 turns (Fig. 92). 

6. Terminate at the most convenient point in 
front and fasten. 

Use. — To retain dressings. 

Figure-of-8 Bandage of Back and Shoulders 

(3- to 3|-inch Bandage) 

1. Face patient's back and bandage from left 
to right. 

2. Fix by the oblique method. Place the ex- 
tremity of the bandage below the scapula. Carry 



ROLLER BANDAGES 



113 




Fig. 91. — Oblique method; fixing of figure-of-8 bandage of neck and axilla. 




Fig. 92. — Figure-of-8 bandage of neck and axilla. 



M 



114 BANDAGES AND BANDAGING FOR NURSES 

over to the opposite side and up over the shoulder, 
down in front, back under the axilla, across the 
back and up, so that the roller passes over and 
holds the initial extremity in the median line of the 
back (Fig. 93). 




Fig. 93. — Fixing by oblique method; bandage of back and shoulders. 



3. Carry the bandage up and over the shoulder 
on the opposite side, descend in front, back under 
the axilla, and from thence back to and cross again 



ROLLER BANDAGES 



115 





JMk 



Fig. 94. — Bandage of back and shoulders. 

in the median line. The two turns, one about each 
shoulder, complete one figure-of-8 turn. 

4. A series of four or five figure-of-8 turns are 
made, each exactly or partially overlapping, one- 
half or two-thirds ascending or descending. 

5. Terminate and pin at a point in front (Fig. 94). 
Use. — To retain dressings and to give support. 

Figure-of-8 Bandage of Trunk and Axilla 

(3- to 3^-inch Bandage) 

1. Face shoulder to be bandaged and carry the 
roller from left to right. 



116 BANDAGES AND BANDAGING FOR NURSES 

2. Fix the initial extremity by circular turns 
around the arm near the shoulder on the injured 
side. 

3. Carry the roller up over the point of the 
shoulder in the median line, cross the trunk to the 
opposite axilla, under the axilla, back across the 
trunk to the shoulder, and cross the bandage at the 
median line (Fig. 95). Continue the roller around 
the arm and back up to the median line. The two 
turns make a complete figure-of-8 turn. 

4. Continue with the figure-of-8 turns, each 
turn partially overlapping, ascending or descending 
on the shoulder until the shoulder is covered. 
(The result will be an ascending or descending 
spica of the shoulder.) 

5. Terminate and fasten at any convenient point 
in front (Fig. 96). 

Use. — To retain dressings and splints. 

Spiral Bandage of Chest 

(3- to 5-inch Bandage) 

1. Face the patient and bandage from left to 
right. 

2. Fix the bandage by circular turns around the 
waist, ascend by spiral turns, each overlapping 
the preceding one-half to two-thirds, until the 



ROLLER BANDAGES 



117 




Fig. 95. — Crossing bandage at median line of shoulders. 




Fig. 96. — Spica of shoulder. 



118 BANDAGES AND BANDAGING FOR NURSES 

thorax up to the level of the axilla is reached (Fig. 
97). 

3. Terminate spiral turns at the left axilla. 
Carry up obliquely across the back to the summit 
of the right shoulder and down across the spiral 




Fig. 97. — Spiral bandage of chest. 



turns to the median line. Reverse. Carry up to 
the summit of the left shoulder and down in the 
back to the lower edge of the spiral turns. Fasten 
with adhesive or pins. 

Use. — To give support and to retain dressings. 



ROLLER BANDAGES 119 

Ascending Spica of Groin 

(3- to 4-inch Bandage) 

1. Face patient if ambulatory. Use pelvis rest 
for a bed patient. Bandage from left to right. 

2. Fix the bandage by circular turns around the 
upper portion of the thigh. 




Fig. 98. — Beginning first turn of spica of groin. 

3. The third time the front of the thigh is 
reached, carry the bandage up around the trunk 
and back to the starting-point (Fig. 98). Carry 



120 BANDAGES AND BANDAGING FOR NURSES 

the bandage down and around the thigh. The 
two turns make a complete figure-of-8 turn. 

4. Continue the turns, each ascending and over- 
lapping one-half to two-thirds until four or five 
turns are made. 




Fig. 99. — Spica of groin. 



5. Terminate and fasten the bandage at a con- 
venient point in front (Fig. 99). 

Use. — To exert pressure, to support and to re- 
tain dressings. 



ROLLER BANDAGES 



121 



Double Ascending Spica of Groin 

(3- to 4-inch Bandage) 

1. Face the patient if ambulatory. Use pelvis 
rest for a bed patient. Bandage from left to right. 

2. Fix by an oblique turn around the right thigh 
(Fig. 100). Carry the roller up obliquely across 




Fig. 100. — Oblique method; fixing of bandage of groin. 

the pubes, around the trunk, obliquely across the 
pubes to the front of the left thigh, around the 
left thigh, up and across the back to the starting- 
point. This makes one complete turn of the ban- 
dage. 

3. Apply four or five such turns, ascending over- 



122 BANDAGES AND BANDAGING FOR NURSES 




Fig. 101. — Double bandage of groin. 

lapping one-half to three-fourths. Terminate and 
fasten at a convenient point in front (Fig. 101). 

Use, — To support, to exert pressure, and to re- 
tain dressings. 

Suspensory of Breast 

(3-inch Bandage) 

1. Face patient. 

2. Place the initial extremity of the bandage be- 
low the axilla just on a line with the lower margin 
of the breast on the affected side. 



ROLLER BANDAGES 



123 



3. Carry the roller up below the affected breast, 
obliquely across the chest to the summit of the 
shoulder of the opposite side, down obliquely in 
the back to a point at the side which will carry the 
roller across the initial extremity to fix the ban- 
dage (Fig. 102). Carry the roller around the 




Fig. 102. — Oblique method of fixing bandage of one breast. 

trunk and back to the starting-point. The two 
turns make one complete turn (figure-of-8) of your 
bandage. 

4. Continue the figure-of-8 turns, overlapping 



124 BANDAGES AND BANDAGING FOR NURSES 

each ascending one-half to three-fourths at the 
junction, and converging at the summit of the 
shoulder, and at the point below the axilla on the 
unaffected side until the entire breast is covered 
and supported (Fig. 103). 




Fig. 103. — Bandage of one breast. 

5. Terminate and fasten at a convenient point 
in front. 

Use. — To support, to exert pressure, and to re- 
tain dressings. 



ROLLER BANDAGES 125 

Double Suspensory of Breasts 

(3-inch Bandage) 

1. Face patient. Bandage from left to right. 

2. Place the initial extremity of the bandage 
below the axilla just on a line with the lower 
margin of the right breast. Carry the roller below 
the right breast obliquely across the chest to the 
summit of the left shoulder, and down obliquely 
across the back to the point at the side which will 
carry the roller over the initial extremity to fix the 
bandage (Fig. 102). 

3. Carry the roller horizontally across the lower 
thorax to the left side, backward over the side, 
obliquely across the back to the summit of the 
right shoulder, and down obliquely across the 
chest and under the lower margin of the left breast 
(Fig. 104). 

From this point carry the roller horizontally 
across the back to the starting-point on the right 
side (Fig. 105). This completes one entire turn of 
the bandage. 

4. Continue with like turns, overlapping (except 
on the shoulder, where they should converge) one- 
half to three-fourths in an ascending direction until 
the entire breasts are covered and supported. 
Care must be taken that the breasts are lifted and 



126 BANDAGES AND BANDAGING FOR NURSES 




Fig. 104.— First turn of bandage of both breasts, anterior view. 



ROLLER BANDAGES 127 




Fig. 105. — First turn of bandage of both breasts, posterior view. 



128 BANDAGES AND BANDAGING FOR NURSES 




Fig. 106. — Bandage of both breasts. 

held in place with the left hand at the time the 
turns are put on with the right hand. 

5. Terminate and fasten the bandage at a con- 
venient point in front (Fig. 106). 

Use. — To support, to exert pressure, and to re- 
tain dressings. 

Velpeau's Bandage 

(3- to 3£-inch Bandage) 

1. Face patient and pad the axilla of the injured 
side. 



ROLLER BANDAGES 129 

2. Place the hand of the injured side on the 
shoulder of the sound side. Protect the elbow 
from pressure by padding well. Place the initial 
extremity of the bandage in the axilla of the 




Fig. 107. — Fixing of Velpeau's bandage. 

sound side. Carry the roller diagonally across the 

back to the summit of the shoulder, down over the 

outer part of the arm, behind the elbow, and up and 

across the chest to the axilla. Make three such 

turns to fix the bandage (Fig. 107). 
'9 



130 BANDAGES AND BANDAGING FOR NURSES 

3. Upon reaching the axilla the third time make 
a circular turn around the thorax and the arm, 
bringing the middle of the bandage over the ex- 
ternal condyle of the humerus, and completing the 




Fig. 108. — Second turn of Velpeau's bandage 

circular turn at the axilla on the sound side (Fig. 
108). 

4. A shoulder turn (like the fixing turns) is then 
made, overlapping one-half to three-fourths toward 
the median line. 



ROLLER BANDAGES 131 

5. Make another horizontal turn including arm, 
forearm, and thorax overlapping (ascending spiral), 
the previous circular turn one-half on the injured 
side over the arm, and converging on the sound 
side at the axilla. 

6. Thus alternate turns until the entire arm 




Fig. 109. — Velpeau's bandage. 

and forearm as far as the wrist are covered and 
supported (Fig. 109). 

7. Fasten with narrow strips of adhesive to keep 
it from slipping. 

Use. — To support and to immobilize. (Frac- 
ture of clavicle — dislocation of shoulder.) 



132 BANDAGES AND BANDAGING FOR NURSES 

Desault's Dressing 

(3 Rolls — 3- to 3|-inch Bandage, 1 Wedge-shaped Pad) 

First Roller. — 1. Face the patient and bandage 
from left to right. Place the wedge-shaped pad 
in the axilla on the injured side (Fig. 110). 




Fig. 110. — Wedge-shaped pad. 

2. Start with the initial extremity of the ban- 
dage on the pad and make four ascending spiral 
turns about the thorax and the pad overlapping 
three-quarters or more of the width of the bandage 
(Figs. Ill, 112). 



ROLLER BANDAGES 



133 






1 



Fig. 111. — Fixing of first roller of Desault's dressing. 




Fig. 112. — bpiral turns of first roller of Desault's dressing. 



134 BANDAGES AND BANDAGING FOR NURSES 

3. The fourth time the axilla of the injured side 
is reached, carry the roller beneath the pad, up 
and across the chest, over the shoulder, down the 
back, forward to the axilla, up to the shoulder, 
and down across the back to the axilla on the in- 




Fig. 113. — The first roller of Desault's dressing, front view. 

jured side. These two turns make one complete 
figure-of-8 turn. 

4. Make three of these figure-of-8 turns.. 

5. Terminate and fasten at a convenient point 
in front (Figs. 113, 114). 

Second Roller. — 1. Bring the arm firmly against 



ROLLER BANDAGES 



135 



the pad and the body with the forearm flexed at a 
right angle. 

2. Fix the initial extremity by two or three cir- 
cular turns about the thorax, and the arm of the 




Fig. 114. — The first roller of Desault's dressing, back view. 

injured side over the head of the humerus and under 
the axilla on the sound side (Fig. 115). 

3. Descend, using spiral turns (each turn over- 
lapping the preceding one-half over the injured arm 
and three-fourths in the axillary line of the sound 
side) to the elbow. 



136 BANDAGES AND BANDAGING FOR NURSES 



Fig. 115.— Fixing of second roller of Desault's dressing. 



ROLLER BANDAGES 137 

4. Terminate with a circular turn and fasten at a 
convenient point in front (Fig. 116). 

Third Roller. — 1. Fix by the oblique method. 
Place the initial extremity of the bandage in 
the axilla of the sound side, carry the roller up 
and across the thorax, over the shoulder, down the 
back of the arm to the elbow, under the elbow, ob- 
liquely across the chest to the axilla on the sound 
side, and over the initial extremity of the bandage, 
which fixes it (Figs. 117, 118). 

2. Carry the roller under the axilla, up and across 
the back to the summit of the shoulder, where it 
crosses the other turn in the median line of the 
shoulder. Continue down the front of the arm to 
the elbow, under the elbow, and across the back 
to the sound axilla (Fig. 119). This completes an 
anterior turn and a posterior turn, which make one 
complete turn. 

3. Make three complete turns. Terminate at a 
convenient point in front and fasten. Pin or 
stick with adhesive at intersections. Make a sling 
with a piece of bandage to support the hand (Fig. 
120). 

Use. — To support and to immobilize. (Frac- 
tured clavicle.) 



138 BANDAGES AND BANDAGING FOR NURSES 




i 



Fig. 116. — The second roller of Desault's dressing. 



ROLLER BANDAGES 



139 




Fig. 117. — Placing of initial extremity of third roller of Desault's dressing. 



140 BANDAGES AND BANDAGING FOR NURSES 




Fig. 118. — Fixing of third roller of Desault's dressing. 



ROLLER BANDAGES 141 




Fig. 119.— Back view of first turn of third roller of Desault's dressing. 



142 BANDAGES AND BANDAGING FOR NURSES 




Fig. 120. — Desault's dressing. 



PLASTER BANDAGES 

Plaster-of-Paris bandages are the most com- 
mon form of bandages used for support. They are 
made of some meshed goods combined with gypsum 
(plaster-of-Paris) as a hardening agent. 

Preparation of Plaster Bandages 

Plaster bandages may be made of cheese-cloth 
or mosquito netting, but crinoline is the better 
material. They can be bought ready for use or 
made by the following method: 

Crinoline is cut or torn into strips from 2 to 6 
inches in width and 3 to 5 yards long and rolled 
into loose rollers. A table of fair size with a very 
smooth top, preferably of glass or a piece of glass 
to cover the top, is placed on a protected portion of 
the floor. The protection for the floor may be 
paper, an old sheet, or any other kind of material 
that will protect the floor from any plaster of 
Paris that might accidentally get sifted on to it. 
A chair should be placed at the table for the worker 
and the necessary things at hand, i. e. y the rollers 
of crinoline, a good supply of fresh and absolutely 

143 



144 BANDAGES AND BANDAGING FOR NURSES 

dry plaster of Paris, and a large jar or container for 
the finished bandages. 

The initial extremity of one of the rollers is then 
unrolled for 2 or 3 feet. The plaster is sprinkled 
on and then rubbed in with the finger-tips so as to 
retain as much of the plaster of Paris as possible. 
This part of the bandage is then rolled and another 
part treated in a similar manner until the entire 
bandage is finished. 

They must be kept in an air-tight container, as 
the moisture in the air is readily absorbed by the 
plaster and the bandage is rendered unfit for use. 

To Apply Plaster Bandages 

Protect floors, bed, tables, etc., with newspapers. 

Have in readiness on the table ajar of plaster-of- 
Paris bandages, absorbent cotton, cotton wadding, 
common bandages, talcum powder, a small jar each 
of sugar, salt, and plaster of Paris, a pitcher of warm 
water, and a basin deep enough to hold water suffi- 
cient to submerge the bandages as they stand on 
end. 

The basin should be fixed and only one bandage 
put in at a time. The bandage should stand on 
end, as it is more quickly saturated this way. If 
the bandage remains too long in water the plaster 



PLASTER BANDAGES 



145 



will change from its calcined to its hydrous form, or 
the plaster has "set/' as it is commonly termed. 
It should be left in the water only until the bubbles 
cease to rise. Then with both hands, one grasping 




Fig. 121. — Grasping plaster-of-Paris bandage. 



one end and one the other, so that the bandage will 
retain as much as possible of the plaster of Paris 
(Fig. 121), a wringing motion is used to remove the 



10 



146 BANDAGES AND BANDAGING FOR NURSES 

surplus water (Fig. 122). The bandage should be 
immediately applied. 

Plenty of assistants are always necessary in ap- 
plying casts. The same turns may be used in ap- 




Fig. 122. — Wringing plaster-of-Paris bandage. 

plying a plaster bandage as are used for the com- 
mon bandage. The most commonly used turns 
are the circular, spiral, and figure-of-8. 

Salt is sometimes used in the water to make the 
plaster harden more rapidly. Rubber gloves may 



PLASTER BANDAGES 147 

be used to protect the hands from the plaster, which, 
as it becomes "set," is rather hard to remove. 
Sugar or vinegar is used to help remove it from the 
hands. 

The basin used for the emersion of bandages is 
lined with a piece of paper which will catch the 
plaster and prevent it from sticking to the bottom 
of the basin. The water should be carefully 
drained off and the paper and plaster put into the 
rubbish can. Never pour the water thick with 
plaster into the sinks or hoppers, as the plaster 
readily settles in bends of the pipes and may clog 
them. 

The skin over which a plaster cast is to be ap- 
plied must be clean and dry. Talcum powder 
dusted on to the skin just before the cast is applied 
will help to absorb any moisture later of perspira- 
tion. 

Removal of Cast 

The plaster cast is removed by means of the 
plaster saw, plaster knife, and the plaster shears. 
A weak acid, vinegar, or hydrogen peroxid can be 
used to soften the plaster so that it may be cut 
easily. 



HANDKERCHIEF BANDAGES 

The handkerchief bandage is a bandage made 
from a handkerchief or a square of any material — 
cotton, silk, linen, duck, or woolen — from 22 to 36 
inches square. 

Kinds: 1. Triangle handkerchief bandage. 
2. Cravat handkerchief bandage. 

The following described triangle and cravat ban- 
dages are the most used. (The First-aid Outfit of 
American Red Cross gives the complete number of 
triangle and cravat bandages.) 

These bandages take their names from that part 
of the anatomy to which the base of the bandage 
is'applied. . 

TRIANGLE HANDKERCHIEF BANDAGES 

The triangle handkerchief bandage is a handker- 
chief or other square of material folded once in the 
form of a right angle. 

Parts of a triangle bandage: 

1. Base, the long side of the triangle. 

2. Apex, the right angle of the triangle. 

3. Extremities, the acute angles. 

148 



HANDKERCHIEF BANDAGES 149 

4. Inner surface., the surface next the part to 

be bandaged. 

5. Outer surface, the surface away from the 

part to be bandaged. 

Fronto-occipital Triangle 

Place the triangle on the head so that the apex 
will come down over the occiput, and, with the 
middle of the base upon the frontal portion of the 
head, carry the extremities around to the back so 
that the base of the bandage is around the vault of 
the cranium. Cross at the occiput over the apex 
and bring the extremities around and tie in a reef- 
knot at the frontal portion of the head. Tuck in 
the ends. Bring up the apex toward the vertex 
until the bandage is drawn smooth, and pin with a 
safety-pin (Figs. 123, 124). 

Use. — To give protection and to retain dressings. 

Hand Triangle 

Place the inner surface of the middle of the base 
of the triangle to the palmar surface of the wrist. 
Bring the apex over the dorsal surface of the hand. 
Fold neatly and carry the base around the wrist 
twice. Tie extremities with reef-knot at a point 
on the outer surface of the arm (Fig. 123). 

Use. — To give protection and to retain dressings. 



150 BANDAGES AND BANDAGING FOR NURSES 




Fig. 123. — Fronto-occipital triangle: triangle of hand; triangle of one breast. 



HANDKERCHIEF BANDAGES 151 




Fig. 124. — Fronto-occipital triangle: triangles of both breasts; cravat of arm. 
BRACHIOCERVICAL TRIANGLE OR SLING 

Flex the arm to be put in the sling to a right 
angle. Place the triangle with the base to the 
hand and the apex to the elbow. Slip the triangle 
between the body and the arm so that a little more 
than half of the bandage is below the arm. Bring 
the bandage up over the flexed arm, around the 
neck to the left, if the left arm is to be put in the 



152 BANDAGES AND BANDAGING FOR NURSES 

sling; to the right if the right arm. Carry around 
to the front and tie to the shorter extremity in a 
reef-knot. Always have the knot well around to 
the front. Knots tied at the back of the neck 
form pressure and are uncomfortable. 




Fig. 125. — Brachiocervical triangle. 



Support the hand well with the base of the ban- 
dage between the wrist and the fingers. 

Fold the apex of the bandage back around the 
arm and pin with a safety-pin. Also pin the two 



HANDKERCHIEF BANDAGES 153 

thicknesses of the sling together above the hand 
and below the chin to keep it from slipping (Fig. 
125). 

Use. — To support. 

Triangle of Foot 

Place the triangle beneath the foot with the base 
at the ankle. Fold the apex up over the dorsum of 




Fig. 126. — Triangle of foot. 

the foot. Neatly fold the extremities over the 
dorsum of the foot, carry them all the way around 
the ankle and tie in a reef-knot in front (Figs. 126, 
127). 

Use. — To give protection and to retain dressings. 



154 BANDAGES AND BANDAGING FOR NURSES 




Fig. 127. — Triangle of foot. 

Triangle of One Breast 

Place the triangle with the base diagonally across 
the chest below the breast to be bandaged, and 
above the breast on the sound side. Carry the 
apex up over the shoulder on the affected side. 
Tie the extremities in a reef-knot at the back over 
the apex of the bandage. Then bring the apex 
over the top of the knot and pin (Fig. 123). 

Use. — To exert pressure, to support and to re- 
tain dressings. 

Triangle of Both Breasts or Thoracicoscapular Triangle 

Place the triangle over the chest with its base 
just below the margin of both breasts. Carry the 



HANDKERCHIEF BANDAGES 155 

extremities around to the back and tie in a reef- 
knot. Bring the apex up over one shoulder, down 
in the back, and tie in a reef-knot to one of the ex- 
tremities (Fig. 124). 

Use. — To exert pressure, to support and to re- 
tain dressings. 

Triangle of Buttocks or Diaper or Sacropubic Triangle 

Place the triangle over the buttocks with its base 
at the waist-line. Bring the apex between the 




Fig. 128. — Triangle of buttocks; cravat of thigh. 



156 BANDAGES AND BANDAGING FOR NURSES 

thighs and up over the pubes. Carry the extremi- 
ties around to the front and tie in a reef-knot over 
the apex. Fold the apex down over the knot and 
pin with a safety-pin (Fig. 128). 
Use. — To retain dressings. 

CRAVAT HANDKERCHIEF BANDAGE 

The cravat handkerchief bandage is a triangle 
folded once, twice, or three times upon itself. 



Cravat of Head or Occipitofrontomentovertico Cravat 

Tie a simple knot with the extremities of the 
cravat so as to form a loop of the remaining part of 
the bandage (Fig. 129). 

Slip the loop vertically around the head with 
the knot at the vertex. Separate the folds which 
make the knot. Carry one fold to the occiput and 
the other to the frontal portion of the head (Fig. 
130). Make tension on the extremities until the 
bandage is sufficiently tight. Carry the extremi- 
ties up over the vertex and tie (Fig. 131). 

Use. — To give support, to exert pressure, and 
to retain dressings. 



HANDKERCHIEF BANDAGES 157 




Fig. 129. — Simple knot in cravat. 



158 BANDAGES AND BANDAGING FOR NURSES 




Fig. 130. — Separating folds of the knot. 



HANDKERCHIEF BANDAGES 159 




Fig. 131. — Occipitofrontomentovertico cravat. 
BRACfflOCERVICAL CRAVAT 

Flex the arm to a right angle. Slip the cravat 
between the arm and the body with a little more 
than half of the bandage over the arm. Carry this 
extremity around the neck and down to meet the 
other extremity which is brought up over the arm 
to this point. Make a half- turn with the extremi- 
ties. Carry the ends in opposite directions be- 



160 BANDAGES AND BANDAGING FOR NURSES 




Fig. 132. — Brachiocervical cravat. 

neath the cravat, entirely around, and tie in a reef- 
knot in front (Fig. 132). 
Use. — To give support. 

Cravat of Arm 

Place the cravat on the part of the arm to be 
bandaged. Carry the extremities around in op- 
posite directions and tie in a reef-knot at a point in 
front, or so that the knot will not come over the 
injury (Fig. 124). 

Use. — To exert pressure and to retain dressings. 



HANDKERCHIEF BANDAGES 161 

Cravat of Thigh 

Place the cravat on the part of the thigh to be 
bandaged. Carry the extremities around in op- 
posite directions and tie in a reef-knot at a point 
in front or so that the knot will not come over the 
injury (Fig. 128). 

Use, — To exert pressure and to retain dressings. 
11 



TAILED BANDAGES OR BINDERS 

The tailed bandage or binder is best made of a 
heavy muslin, preferably unbleached. 
Kinds: Four-tailed bandage. 

T-bandage or T-binder. 
Double-tailed T-bandage or Double- 
tailed T-binder. 
Y-bandage or Y-binder. 
V-bandage or V-binder. 
Scultetus bandage or scultetus binder. 
Straight abdominal bandage or straight 

abdominal binder. 
Fitted breast bandage or fitted breast 
binder (Fig. 133). 

FOUR-TAILED BANDAGE 

The four-tailed bandage is a strip of bandage 24 
to 30 inches long and 4 to 8 inches wide that is split 
at each end to within 3 or 4 inches of the center 
(Fig. 133, a). 

Use. — To retain dressings, to exert pressure, and 
to support the breast, chin, forehead, parietal 
portion, eye, or ear. 

162 



TAILED BANDAGES OR BINDERS 



163 




164 BANDAGES AND BANDAGING FOR NURSES 

Four-tailed Bandage of Chin 

Place the center of the bandage under the chin. 
Bring the two lower tails up vertically around the 
head and tie at the vertex. Take the two upper 




Fig. 134. — Four-tailed bandage of chin. 



tails and carry around beneath the ears to the oc- 
ciput and tie (Fig. 134). 

Use. — To retain dressings and to support and 
to exert pressure. 



TAILED BANDAGES OR BINDERS 165 

T-BANDAGE OR T-BINDER 

The T-bandage can be made of roller bandage or 
other material about 4 inches in width. It is made 
of two pieces sewn together at right angles so that 
they form a T (Fig. 133, b). 

To Apply T-Bandage or T-Binder 
Bring the horizontal strip around the body of 
the patient and fasten in front, carry the tail or 
vertical piece between the thighs, up in front, and 




Fig. 135. — T-bandage or T-binder. 

fasten to the horizontal strip. (Toward the side if 
a male patient.) The binder is more comfortable 
with safety-pins than tied. 



166 BANDAGES AND BANDAGING FOR NURSES 

Always pin the vertical piece with two pins. 
When pinned with one pin the tail-piece has a 
tendency to "cut" the patient, and it will not hold 
dressings in place so well (Fig. 135). 

Use. — To retain dressings to perineum, anal 
region, or vulva. (May be used as a breast ban- 
dage where horizontal strip is made wider.) 

DOUBLE TAILED T-BANDAGE 

The double tailed T-bandage is a bandage having 
two tails or vertical strips (Fig. 133, c). 

Use. — To retain dressings to perineum, anal 
region, or vulva. (May be used as a breast ban- 
dage where horizontal strip is made wider.) 

Y-BANDAGE OR Y-BINDER 

The Y-bandage or Y-binder is a bandage that is 
Y-shaped (Fig. 133, d). 
Parts of a Y-bandage: 

Stem, the larger part or stem of the Y. 

Extremities, the two upper divisions of the Y. 

To Apply Y-Bandage of the Breasts 

Roll the stem of the Y. This makes the bandage 
easier to handle to slip beneath the patient. Place 
the bandage beneath the patient with the stem of 



TAILED BANDAGES OR BINDERS 167 

the Y transversely beneath the patient's back in 
the dorsal region. Carry the extremities of the 
bandage around and transversely across the chest, 
one extremity covering the upper margins of the 
breasts, the other extremity covering the lower 
margins of the breasts. Pin the extremities to the 
stem of the Y. 

Use. — To give support to breasts where a con- 
stant support is necessary, as this need not be taken 
off at nursing time or for the pumping of the 
breasts. 

V-BANDAGE OR V-BINDER 

The V-bandage is a T-bandage with the tail-piece 
in the form of two V's joined together (Fig. 133, e). 




Fig. 136. — V-bandage or V-binder. 



168 BANDAGES AND BANDAGING FOR NURSES 

To Apply V-Bandage 

Apply the V-bandage in the same manner as the 
T-bandage (Fig. 136). 

Use. — To retain dressings to perineum, anal 
region, or vulva. 

SCULTETUS OR MANY-TAILED BINDER 

Six strips of roller bandage or other material 4 
inches wide and 1J yards long are spread out 
smoothly upon a table so that they will overlap 
one another one-half of their width. They are 
then stitched together at their middle quarter, and 
one or two tails are stitched on in T fashion (Fig. 
133,/). 

To Apply Scultetus Binder 

The free ends are rolled into a compact roll that 
can be slipped beneath the patient. The tails are 
then unrolled and the two uppermost tails carried 
across the upper portion of the abdomen, each tail 
in opposite directions, the one overlapping the pre- 
ceding and holding it in place. The remainder of 
the tails are similarly applied and all are held in 
place by two rows of safety-pins, one on each side 
of the abdomen. 

The T piece or pieces are then brought up be- 



TAILED BANDAGES OR BINDERS 169 

tween the thighs, protected by a small dressing to 
avoid chafing and soiling, and pinned at the center 
with two pins, or at the side if a male patient (Fig. 
137). 




Fig. 137. — Scultetus binder. 

Use. — To support, to exert pressure, and to re- 
tain dressings for abdomen or breast. 

STRAIGHT ABDOMINAL BINDER 

The straight abdominal binder consists of a 
double thickness of material 12 inches wide by 40 
inches long (Fig. 133, g). 

To Apply Abdominal Binder 
Pin one or two T pieces to the middle of one side. 
Roll each end of the binder to the center. Place 



170 BANDAGES AND BANDAGING FOR NURSES 

the rolled binder beneath the patient and unroll 
the ends. Bring the ends up around the body and 
turn in the corners enough to make the binder con- 
form with the shape of the body. Turn the lower 
corners, which come down over the pubes, back 
far enough so that it makes the binder straight 
across the pubes, and turn the upper corners back 




Fig. 138. — Straight abdominal binder. 

so that the folded edge of the binder will come 
together evenly and lap to pin. If this binder is 
used for pressure, pins must be very close together, 
in fact, must overlap. Bring the T piece or pieces 
through between the thighs and pin at the front, 
one T piece with two pins, two T pieces with three 
pins (Fig. 138). 



TAILED BANDAGES OR BINDERS 171 

Use. — To support, to exert pressure, and to re- 
tain dressings. 

FITTED BREAST BINDER 

The fitted breast binder is a binder made in a 
manner to conform to the shape of the body (Fig. 
133, h). 

To Apply Fitted Breast Binder 

Slip the binder beneath the patient. Support 
the breasts one at a time and bring the fronts of the 
binder up over the breasts. Instruct the patient 




Fig. 139. — Fitted breast binder. 



172 BANDAGES AND BANDAGING FOR NURSES 

to support each breast by placing a hand at each 
side at the outer margin of the breasts, and, hold- 
ing them in this position, bring the fronts together 
and pin. For an even pressure have pins come to- 
gether and overlap (Fig. 139). 

Use. — To give protection, to support and to 
exert pressure, and to retain dressings. 



INDEX 



Abdominal binder, straight, 169 
Apex of triangle, 148 
Application of plaster casts, 144 
Application of roller bandages 

to apply, 27 

to fix, 27 

to hand, 27 

to remove, 31 

to roll, 18 

to secure, 27 
Ascending spica bandage 

of groin, 119 

of shoulder, 115 

of thumb, 44 

Bandages, cravat 

brachiocervical, 159 

of arm, 160 

of head or occipitofrontomento- 
vertico, 156 

of thigh, 161 
Bandages, roller 

ascending spica of groin, 119 
of shoulder, 115 
of thumb, 44 

Barton's, 103 

binocle or of both eyes, 78 

complete, of foot, 58 

Cowan's, or of ear or mastoid, 95 

demigauntlet, 52 

Desault's dressing, 132 

descending spica of thumb, 44 



Bandages, roller 

double ascending spica of groin, 
121 

headed recurrent of head, 83 

suspensory of breast, 125 
figure-of-8, of back and shoulder, 
112 

of breasts, 125 

of elbow, 39 

of head and chin or Hunter's 
V,93 

of head and neck or White's, 
91 

of knee, 58 

of neck and axilla, 112 

of trunk and axilla, 115 
gauntlet, 52 
Gibson's, 96 
Hunter's V, or figure-of-8 o 

head, 93 
jaw, 69 

mastoid of ear, or Cowan's, 95 
monocle or of one eye, 77 
occipitofacial, 65 
one eye or monocle, 77 
one finger, 46 
one finger, small, 48 
recurrent, of fist or stump 55 

of head, 81 
spiral of chest, 116 
spiral reverse, of lower extrem- 

ity, 57 

173 



174 



INDEX 



Bandages, roller 

spiral reverse, of upper extrem- 
ity, 34 
suspensory, of one breast, 122 
Velpeau's, 128 

White's, or figure-of-8 of head 
and neck, 91 
Bandages, tailed, or binders 
double tailed-T, 166 
fitted breast, 171 
four tailed, 162 
scultetus, 168 
straight abdominal, 169 
T-binder, 165 
V-binder, 167 
Y-binder, 166 
Bandages, triangle 

both breasts or thoracicoscapu- 

lar, 154 
brachiocervical or sling, 151 
buttocks or sacropubic, 155 
fronto-occipital 149 
of foot, 153 
of hand, 149 
of one breast, 154 
sacropubic or buttocks, 155 
thoracicoscapular or of both 
breasts, 154 
Base of triangle, 148 
Barton's bandage, 103 
Binders, 162 
Binocle, 78 

Brachiocervical cravat, 159 
Buttocks, triangle of, 155 

Chest, spiral bandage of, 116 

Chin, four-tailed bandage of, 162 

Circular turns, 15 

Complete bandage of foot, 58 

Cowan's bandage, 95 

Cotton wadding roller, 13 



Cravat-handkerchief bandages 

brachiocervical, 159 

of arm, 160 

of head or occipitofrontomento- 

vertico, 156 
of thigh, 161 
Crinoline roller, 14, 143 

Demigauntlet, 52 
Desault's dressing 
first roller, 132 
second roller, 134 
third roller, 137 
Descending spica bandage of thumb, 

44 
Double ascending spica bandage of 
groin, 121 
headed recurrent bandage of head, 

83 
suspensory bandage of breasts, 125 
tailed T-bandage, 166 

Ear, bandage of, 95 
Elastic bandage, woven, 13 
Elbow, bandage of, 39 

figure-of-8, 39 
Esmarch's rubber bandage, 13 
Eye, bandage of both or binocle, 78 

of one or monocle, 77 

Figure-of-8 bandage 

of back and shoulders, 112 

of breasts, 125 

of elbow, 39 

of head and chin or Hunter's V, 

93 
of head and neck or White's, 91 
of knee, 58 

of neck and axilla, 112 
of trunk and axilla, 115 



INDEX 



175 



Finger, bandage of one, 46 
small bandage of one, 48 
Fitted breast binder, 171 
Fixing a bandage, 27 

circular turns, 27 

figure-of-8 turn, 27 

oblique turn, 27 
Flannel roller, 13 
Flannellet roller, 13 
Foot, bandage of 

complete, 58 

triangle of, 153 
Forearm bandages 

brachiocervical cravat, 159 
triangle or sling, 151 
Four-tailed bandage or binder, 162 

Gauntlet bandage, 52 
Gauze roller, 12 
Gibson's bandage, 96 
Gypsum, 143 

Hand bandages 

demigauntlet, 52 
gauntlet, 52 
triangle of, 149 
Handing a bandage, 27 
Handkerchief bandages, cravat 
brachiocervical, 159 
of arm, 160 
of head or occipitofrontomen- 

tovertico, 156 
of thigh, 161 
Handkerchief bandages, triangle 
both breasts or thoracicoscap- 

ular, 154 
brachiocervical or sling, 151 
buttocks or sacropubic, 155 
fronto-occipital, 149 
of foot, 153 
of hand, 149 



Handkerchief bandages, triangle 

of one breast, 154 

sacropubic or buttocks, 155 

thoracicoscapular of both 
breasts, 154 
Head bandages 
Barton's, 103 
both eyes or binocle, 78 
Cowan's, 95 

double headed recurrent, 83 
Gibson's, 96 
Hunter's V, or figure-of-8 of head 

and chin, 93 
jaw, 69 

occipitofacial, 65 
one eye or monocle, 77 
recurrent, 81 
White's, or figure-of-8 of head 

and neck, 91 
Hunter's V bandage, or figure-ot-8 
of head, 93 

Initial extremity, 14 

Jaw bandage, 69 

Knee, bandage of 

figure-of-8, 58 

Leg, bandage of, 57 

Length of roller, 1 1 

Lower extremity, bandages of 

complete bandage of foot, 58 
spiral reverse of, 57 

Many-tailed bandage, 168 

Mastoid or ear, bandage of, or Cow- 
an's bandage, 95 

Monocle bandage or bandage of one 
eye, 77 

Muslin roller, 13 



176 



INDEX 



Occipitofacial bandage, 65 
Occipitofrontomentovertico cravat, 

156 
One eye or monocle, 77 

finger bandage, 46 
small, 48 

Parts 

of a roller bandage, 14 
of a triangle, 148 
Plaster bandages 
application, 144 
preparation of, 143 
removal of, 147 
Purposes of bandages, 11 

Recurrent bandage 

double roller, of head, 83 

of fist or stump, 55 

of head, 81 
turns, 18 
Removing 
cast, 147 

roller bandage, 31 
Roller bandage 

applying, 27 

cotton wadding, 13 

crinoline, 14 

elastic, 13 

flannel, 13 

flannellet, 13 

fixing, 27 

gauze, 12 

length, 11 

muslin, 13 

parts, 14 

removing, 31 

rubber, 13 

size, 11 

turns, 15 

width, 11 

woven elastic, 13 



Rolling bandage, 18 
Rubber bandage, 13 

Sacropubic triangle, 155 
Scalp, bandage of 

double roller recurrent, 83 
recurrent, 81 
Shoulder, spica bandage of, 115 
Shoulders, figure-of-8 bandage of, 112 
Sling 

brachiocervical cravat, 159 
triangle, 151 
Spica 

of groin, 119 
of shoulder, 115 
of thumb, 44 
Spiral reverse turn, 15 

Tailed bandage, many-, 168 
T-bandage or binder, 165 
Terminal extremity of a bandage, 14 
Thigh, spiral reverse of, 58 
Thoracicoscapular triangle, 154 
Thumb 

ascending spica of, 44 

descending spica of, 44 
Triangle 

brachiocervical or sling, 151 

fronto-occipital, 149 

of both breasts or thoracicoscapu 
lar, 154 

of foot, 153 

of hand, 149 

of one breast, 154 

parts of, 148 

sacropubic or buttocks, 155 

thoracicoscapular, or of both 
breasts, 154 
Trunk bandages 

ascending spica of groin, 119 
Desault's, 132 



INDEX 



177 



Trunk bandages 

double ascending spica of groin, 
121 
suspensory of breast, 125 
figure-of-8 of back and shoulders, 
112 
of neck and axilla. 112 
spiral, of chest, 116 
suspensory, of breast, 122 
Velpeau's, 128 
Turns 

circular, 15 
figure-of-8, 18 
oblique, 18 
recurrent, 18 
spiral, 15 
reverse, 15 

12 



Upper extremity bandages 

ascending spica, of thumb, 44 

demigauntlet, 52 

descending spica, of thumb, 44 

figure-of-8, of elbow, 39 

gauntlet, 52 

one finger, 46 

recurrent, of fist or stump, 55 

small one finger, 48 

spiral reverse of, 34 

V-Bandage or Hunter's V, 93 
Velpeau's bandage, 128 

White's bandage, 91 
Woven elastic bandage, 13 



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